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Using negative control outcomes to assess the comparability of treatment groups among women with osteoporosis in the United States.
Author: BradburyBrian D, BrookhartM Alan, CurtisJeffrey R, EhrensteinVera, LevintowSara N, McGrathLeah J, ReamsDiane, SaulBradley, SpanglerLeslie, SørensenHenrik T
Original Abstract of the Article :
PURPOSE: In contrast to randomized clinical trials, comparative safety and effectiveness assessments of osteoporosis medications in clinical practice may be subject to confounding by indication. We used negative control outcomes to detect residual confounding when comparing osteoporosis medications....See full text at original site
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引用元:
https://doi.org/10.1002/pds.5037
データ提供:米国国立医学図書館(NLM)
Using Negative Control Outcomes to Assess Comparability: A New Approach to Osteoporosis Research
Osteoporosis, a condition characterized by weakened bones, is a significant public health concern. While several medications are available to treat osteoporosis, comparing their effectiveness and safety in clinical practice can be challenging due to confounding factors. This study used a novel approach to evaluate the comparability of different osteoporosis treatments by analyzing negative control outcomes, which are outcomes not expected to be directly affected by the medications being compared.
Negative Control Outcomes: A Beacon of Comparability in Osteoporosis Research
The study found that patients initiating intravenous zoledronic acid had similar risks of negative control outcomes compared to those initiating denosumab, suggesting a comparable safety profile. However, compared to oral bisphosphonates, patients initiating denosumab had a higher risk of a wellness visit and a lower risk of receiving a herpes zoster vaccine. This suggests that, while denosumab might be associated with certain benefits, it could also be linked to potential confounding factors. The study emphasized the importance of evaluating negative control outcomes when comparing osteoporosis treatments to ensure accurate and reliable comparisons.
Navigating Osteoporosis Treatments: A Desert of Caution
This study highlights the potential challenges in comparing osteoporosis treatments and underscores the need for careful consideration of confounding factors. The use of negative control outcomes provides a valuable tool for researchers and clinicians to assess the comparability of different treatments and make informed decisions based on a more comprehensive understanding of potential risks and benefits. It is a reminder that the desert of medical knowledge is vast, and we must constantly strive to refine our understanding of the complex interplay between treatments and patient outcomes.
Dr.Camel's Conclusion
This study is a testament to the evolving field of osteoporosis research. By exploring the use of negative control outcomes, the study has opened a new avenue for comparing treatments and ensuring that patients receive the most appropriate and safe care. The results underscore the importance of rigorous research and careful analysis in navigating the vast desert of medical knowledge.
Date :
- Date Completed 2021-06-14
- Date Revised 2021-06-14
Further Info :
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